[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT07724522":3,"trial-entities:NCT07724522":163,"trial-summary:NCT07724522":167},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":10,"sponsor_name":12,"lead_sponsor_class":13,"has_dmc":14,"brief_summary":15,"detailed_description":16,"conditions":17,"keywords":30,"study_type":42,"primary_purpose":43,"phases":44,"enrollment_info":46,"interventions":49,"primary_outcomes":59,"secondary_outcomes":70,"sex":82,"minimum_age":83,"maximum_age":84,"healthy_volunteers":14,"eligibility_criteria":85,"std_ages":103,"locations":105,"central_contacts":121,"overall_officials":123,"references":124,"see_also_links":159},"NCT07724522","NCR267325","Prebiotic Inulin for Late-Reproductive Individuals","A Placebo Randomized Cross-Over Controlled Trial of Inulin Supplementation to Improve Cardiometabolic, Gut, and Vaginal Microbiome in Perimenopausal Women","RECRUITING","2028-02","2026-07","2026-07-24","George Washington University","OTHER",false,"This study aims to evaluate the effects of 2 weeks of inulin supplementation in perimenopausal women with overweight or obesity. The primary questions this study seeks to answer are:\n\n1. Does 2 weeks of inulin supplementation alter the gut and vaginal estrobolome compared with placebo?\n2. Does 2 weeks of inulin supplementation affect cardiovascular health compared with placebo?\n3. Does 2 weeks of inulin supplementation affect skeletal muscle health compared with placebo?\n\nResearchers will compare inulin with a placebo (a similar-looking supplement that does not contain inulin) to determine whether inulin influences gut and vaginal microbial function, cardiovascular health, and skeletal muscle health during the perimenopausal transition.\n\nParticipants will:\n\n* Take either inulin or a placebo for 2 weeks, followed by a 2- to 4-week washout period, and then switch to the other supplement for an additional 2 weeks.\n* Attend 8 study visits over approximately 12 to 16 weeks for assessments and sample collection.\n* Complete weekly phone calls to monitor symptoms, supplement adherence, and dietary intake.\n* Wear a Fitbit device throughout the study to monitor physical activity.","This proposal presents a proof-of-concept study of the Prebiotic Inulin for Late Reproductive Individuals (PILI) intervention, a prebiotic fiber supplementation among women with perimenopause and overweight or obesity.\n\nMore specifically, the PILI intervention integrates multi-omics, physiological, and cardiometabolic assessments to examine the effects of inulin supplementation on overall health during the menopausal transition. Outcomes include changes in the gut and vaginal microbiome and their functional activity, gut-derived metabolites, vascular health, metabolic flexibility, skeletal muscle oxidative capacity, body composition, physical activity, sleep, dietary intake, and other cardiometabolic health markers. The target age range for this intervention is 40-55 years, reflecting the perimenopausal stage of life. Participants must also have overweight or obesity.\n\nParticipants will be randomly assigned to receive both the study intervention, inulin, and placebo, in a blind crossover design. Each participant will complete two intervention periods, separated by a washout period, allowing every participant to serve as her own control. Throughout the study, participants will consume the assigned supplement daily and attend scheduled in-person research visits before and after each intervention period.\n\nAt these visits, the research team will collect biological samples, including blood, stool, and vaginal swabs, and perform a comprehensive series of clinical assessments. These assessments include body composition, vascular health, metabolic flexibility, skeletal muscle oxidative capacity using near-infrared spectroscopy, physical function, and cardiometabolic testing. Participants will also complete questionnaires related to dietary intake, physical activity, sleep, menopausal symptoms, and quality of life, while wearing a Fitbit device to objectively monitor physical activity and sleep throughout the study.\n\nThe PILI study team will evaluate the feasibility of the intervention by assessing recruitment, retention, adherence to supplement consumption and study procedures, participant acceptability and tolerability, and completion of biological sample collection and clinical assessments. Preliminary changes in microbiome composition and function, microbial metabolites, and cardiometabolic health outcomes will also be evaluated to generate data that will inform the design of a future larger clinical trial.\n\nThis research has the potential to advance understanding of how prebiotic supplementation influences the gut-muscle-metabolism axis during the menopausal transition and to identify a safe, low-cost nutritional strategy to improve cardiometabolic health among perimenopausal women.",[18,19,20,21,22,23,24,25,26,27,28,29],"Obesity & Overweight","Perimenopausal Women","Prebiotics","Inulin","Muscle, Skeletal","Cardiovascular Diseases (CVD)","Microbiota","Gastrointestinal Microbiome","Dietary Fiber","Women Health","Vascular Health","Insulin Resistance",[31,32,33,34,35,36,37,38,39,40,41,21,28],"Perimenopause","Nutrition","Menopause transition","Overweight","Obesity","Cardiometabolic Health","Vascular function","Randomized Controlled Trial","Gut microbiome","Vaginal microbiome","Supplements","INTERVENTIONAL","PREVENTION",[45],"NA",{"count":47,"type":48},27,"ESTIMATED",[50,56],{"type":51,"name":21,"description":52,"armGroupLabels":53},"DIETARY_SUPPLEMENT","10g per day for 2 weeks",[54,55],"Arm 2: Sequence B (Placebo → Inulin)","Sequence A (Inulin → Placebo)",{"type":51,"name":57,"description":52,"armGroupLabels":58},"Maltodextrin (Placebo)",[54,55],[60,64,67],{"measure":61,"description":62,"timeFrame":63},"Change in Gut Microbiome Composition","Change in gut microbiome composition, assessed by shotgun metagenomic sequencing, comparing inulin versus placebo in a randomized crossover design.","Baseline, end of each 2-week intervention period (inulin and placebo), and after washout period (2-4 weeks).",{"measure":65,"description":66,"timeFrame":63},"Change in Gut Microbiome Functional Capacity","Change in gut microbiome functional capacity, including biosynthetic gene clusters (BGCs) and estrobolome-related microbial pathways, assessed by shotgun metagenomic sequencing, comparing inulin versus placebo in a randomized crossover design.",{"measure":68,"description":69,"timeFrame":63},"Change in Vaginal Microbiome Composition","Change in vaginal microbiome composition, assessed by shotgun metagenomic sequencing, comparing inulin versus placebo in a randomized crossover design.",[71,75,78],{"measure":72,"description":73,"timeFrame":74},"Vascular Function","Change in vascular function, assessed by pulse-wave velocity (PWV), comparing inulin versus placebo in a randomized crossover design.","Baseline and end of each 2-week intervention period (inulin and placebo), with assessments conducted during each intervention period following the washout phase (2-4 weeks).",{"measure":76,"description":77,"timeFrame":74},"Metabolic Flexibility","Change in metabolic flexibility, assessed as the change in respiratory exchange ratio (RER) from the fasted resting state to the postprandial period following a standardized high-fat mixed meal, measured continuously via indirect calorimetry, comparing inulin versus placebo in a randomized crossover design.",{"measure":79,"description":80,"timeFrame":81},"Skeletal muscle mitochondrial oxidative capacity","Change in skeletal muscle mitochondrial oxidative capacity in the gastrocnemius muscle, comparing inulin versus placebo in a randomized crossover design. Muscle oxidative capacity will be assessed using near-infrared spectroscopy (NIRS).","Baseline and end of each 2-week intervention period (inulin and placebo), with assessments conducted during each intervention period following the washout phase (2-4 weeks)","FEMALE","40 Years","55 Years",{"inclusion":86,"exclusion":92,"raw_text":102},[87,88,89,90,91],"Body mass index: 25 - 40 kg\u002Fm2;","Menstrual cycle irregularity (cycle length outside 21 - 35 days or variation \\> 7 days) or\u002Fand ≥ 2 skipped cycles and interval of ≥ 60 days of amenorrhea; with or without hot flashes or\u002Fand night sweats;","Weight stable within the last 3 months (body weight fluctuations within the 5% of their habitual body weight);","Spending ≥ 6 hours sitting;","\\\u003C 150 minutes per week (50 minutes per day, 3 days per week OR 30 minutes per day, 5 days per week) of moderate to vigorous structured physical activity (i.e., planned intentional physical activity, not incidental movement).",[93,94,95,96,97,98,99,100,101],"Recent antibiotic use oral or vaginal (≥ 6months);","Diagnosed with any chronic disease (e.g., any gastrointestinal condition like IBD, type 2 diabetes, or cancer);","Prescription of hormone replacement therapy, hormonal contraceptives, probiotics, GLP-1 medications, or weight loss medications","Smoking;","Recent blood donation (within the past 8-12 weeks);","Significant weight changes (≥5%) in the last 4 weeks;","Use of dietary supplements (unless discontinued 4 weeks prior);","Participants taking long-term, stable medications for chronic conditions such as hypertension or hyperlipidemia will not be excluded if their medication regimen has been unchanged for at least 2 years, as these treatments are part of their usual health status. Recent medication changes (within the past 6 months), initiation of new prescriptions, or use of medications known to affect metabolic, vascular, vaginal, hormonal, or gastrointestinal function will result in exclusion.","Fructose intolerance.","Inclusion Criteria:\n\n* Body mass index: 25 - 40 kg\u002Fm2;\n* Menstrual cycle irregularity (cycle length outside 21 - 35 days or variation \\> 7 days) or\u002Fand ≥ 2 skipped cycles and interval of ≥ 60 days of amenorrhea; with or without hot flashes or\u002Fand night sweats;\n* Weight stable within the last 3 months (body weight fluctuations within the 5% of their habitual body weight);\n* Spending ≥ 6 hours sitting;\n* \\\u003C 150 minutes per week (50 minutes per day, 3 days per week OR 30 minutes per day, 5 days per week) of moderate to vigorous structured physical activity (i.e., planned intentional physical activity, not incidental movement).\n\nExclusion Criteria:\n\n* Recent antibiotic use oral or vaginal (≥ 6months);\n* Diagnosed with any chronic disease (e.g., any gastrointestinal condition like IBD, type 2 diabetes, or cancer);\n* Prescription of hormone replacement therapy, hormonal contraceptives, probiotics, GLP-1 medications, or weight loss medications\n* Smoking;\n* Recent blood donation (within the past 8-12 weeks);\n* Significant weight changes (≥5%) in the last 4 weeks;\n* Use of dietary supplements (unless discontinued 4 weeks prior);\n* Participants taking long-term, stable medications for chronic conditions such as hypertension or hyperlipidemia will not be excluded if their medication regimen has been unchanged for at least 2 years, as these treatments are part of their usual health status. Recent medication changes (within the past 6 months), initiation of new prescriptions, or use of medications known to affect metabolic, vascular, vaginal, hormonal, or gastrointestinal function will result in exclusion.\n* Fructose intolerance.",[104],"ADULT",[106],{"facility":107,"status":8,"city":108,"state":109,"zip":110,"country":111,"contacts":112,"geoPoint":118},"Milken Institute School of Public Health","Washington D.C.","District of Columbia","20052","United States",[113],{"name":114,"role":115,"phone":116,"email":117},"Carmen Ortega-Santos, PhD, RD","CONTACT","202-994-2757","fitgutlab@gwu.edu",{"lat":119,"lon":120},38.89511,-77.03637,[122],{"name":114,"role":115,"phone":116,"email":117},[],[125,129,132,135,138,141,144,147,150,153,156],{"pmid":126,"type":127,"citation":128},"38170622","RESULT","Huang F, Cao Y, Liang J, Tang R, Wu S, Zhang P, Chen R. The influence of the gut microbiome on ovarian aging. Gut Microbes. 2024 Jan-Dec;16(1):2295394. doi: 10.1080\u002F19490976.2023.2295394. Epub 2024 Jan 3.",{"pmid":130,"type":127,"citation":131},"40551890","Wang H, Shi F, Zheng L, Zhou W, Mi B, Wu S, Feng X. Gut microbiota has the potential to improve health of menopausal women by regulating estrogen. Front Endocrinol (Lausanne). 2025 Jun 9;16:1562332. doi: 10.3389\u002Ffendo.2025.1562332. eCollection 2025.",{"pmid":133,"type":127,"citation":134},"30183376","Houghton MJ, Kerimi A, Mouly V, Tumova S, Williamson G. Gut microbiome catabolites as novel modulators of muscle cell glucose metabolism. FASEB J. 2019 Feb;33(2):1887-1898. doi: 10.1096\u002Ffj.201801209R. Epub 2018 Sep 5.",{"pmid":136,"type":127,"citation":137},"38153260","Cross TL, Simpson AMR, Lin CY, Hottmann NM, Bhatt AP, Pellock SJ, Nelson ER, Loman BR, Wallig MA, Vivas EI, Suchodolski J, Redinbo MR, Rey FE, Swanson KS. Gut microbiome responds to alteration in female sex hormone status and exacerbates metabolic dysfunction. Gut Microbes. 2024 Jan-Dec;16(1):2295429. doi: 10.1080\u002F19490976.2023.2295429. Epub 2023 Dec 28.",{"pmid":139,"type":127,"citation":140},"31089513","Cavallari JF, Schertzer JD. Intestinal Microbiota Contributes to Energy Balance, Metabolic Inflammation, and Insulin Resistance in Obesity. J Obes Metab Syndr. 2017 Sep;26(3):161-171. doi: 10.7570\u002Fjomes.2017.26.3.161. Epub 2017 Sep 30.",{"pmid":142,"type":127,"citation":143},"35762156","Cabre HE, Gould LM, Gordon AN, Giuliani-Dewig HK, Moore SR, Ryan ED, Smith-Ryan AE. Differences in strength, leg lean mass, and lifestyle factors between premenopausal and perimenopausal women. Clin Physiol Funct Imaging. 2022 Nov;42(6):460-464. doi: 10.1111\u002Fcpf.12771. Epub 2022 Jul 26.",{"pmid":145,"type":127,"citation":146},"35231009","Gould LM, Gordon AN, Cabre HE, Hoyle AT, Ryan ED, Hackney AC, Smith-Ryan AE. Metabolic effects of menopause: a cross-sectional characterization of body composition and exercise metabolism. Menopause. 2022 Feb 28;29(4):377-389. doi: 10.1097\u002FGME.0000000000001932.",{"pmid":148,"type":127,"citation":149},"31707507","Le Bastard Q, Chapelet G, Javaudin F, Lepelletier D, Batard E, Montassier E. The effects of inulin on gut microbial composition: a systematic review of evidence from human studies. Eur J Clin Microbiol Infect Dis. 2020 Mar;39(3):403-413. doi: 10.1007\u002Fs10096-019-03721-w. Epub 2019 Nov 9.",{"pmid":151,"type":127,"citation":152},"35983178","Peters BA, Santoro N, Kaplan RC, Qi Q. Spotlight on the Gut Microbiome in Menopause: Current Insights. Int J Womens Health. 2022 Aug 10;14:1059-1072. doi: 10.2147\u002FIJWH.S340491. eCollection 2022.",{"pmid":154,"type":127,"citation":155},"31636122","Ervin SM, Li H, Lim L, Roberts LR, Liang X, Mani S, Redinbo MR. Gut microbial beta-glucuronidases reactivate estrogens as components of the estrobolome that reactivate estrogens. J Biol Chem. 2019 Dec 6;294(49):18586-18599. doi: 10.1074\u002Fjbc.RA119.010950. Epub 2019 Oct 21.",{"pmid":157,"type":127,"citation":158},"33251828","El Khoudary SR, Aggarwal B, Beckie TM, Hodis HN, Johnson AE, Langer RD, Limacher MC, Manson JE, Stefanick ML, Allison MA; American Heart Association Prevention Science Committee of the Council on Epidemiology and Prevention; and Council on Cardiovascular and Stroke Nursing. Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scientific Statement From the American Heart Association. Circulation. 2020 Dec 22;142(25):e506-e532. doi: 10.1161\u002FCIR.0000000000000912. Epub 2020 Nov 30.",[160],{"label":161,"url":162},"Participation Interest Questionnaire","https:\u002F\u002Fredcap.research.gwu.edu\u002Fsurveys\u002F?s=XLM8KJMPCY3X8WTP",{"nct_id":4,"conditions":164,"biomarkers":166},[29,35,34,165],"Perimenopausal",[],{"nct_id":4,"found":168,"summary":169,"prompt_version":179},true,{"design":170,"status":171,"heading":172,"summary":173,"follow_up":174,"word_count":175,"commitments":176,"compensation":177,"drugs_mentioned":178},"This is a randomized, blinded crossover study involving 27 participants. Each participant will receive both inulin and a placebo, serving as their own control.","completed","Inulin Supplementation for Perimenopausal Women with Overweight or Obesity","This study is looking at how a prebiotic called inulin affects women aged 40-55 who are going through perimenopause and are overweight or have obesity. Researchers want to see if taking 10g of inulin daily for two weeks changes the bacteria in your gut and vagina, and if it impacts your heart health and muscle health. You would take inulin and a placebo (an inactive substance that looks the same) at different times. The main goal is to understand if inulin can improve these health areas during this life stage. The study plans to enroll 27 participants, but its current status is unclear.","Your gut and vaginal microbiome will be measured at baseline, after each two-week intervention, and after a 2-4 week washout period.",103,"You would take a daily supplement for two separate two-week periods, with a break in between. You will also attend scheduled in-person research visits before and after each intervention period.","Not stated in the trial record.",[21],"v2"]